Extensive screening for primary tumor is redundant in melanoma of unknown primary.

摘要: For decades, patients in our institution with metastastic melanoma of unknown primary have been subjected to extensive examinations search the tumor. This retrospective study questions results, and thus feasibility these examinations. Of 103 diagnosed tumor during period 1986–2006, 39 (38%) presented primarily a cutaneous or subcutaneous metastasis, 63 (61%) lymph node metastasis. One patient bone metastasis (1%). Eighty-seven (84%) were examined by an ophthalmologist. A choroidal was suspected as one patient. Eighty-four (82%) oto-rhino-laryngologist, whereby no found. Ninety-five (92%) sigmoideoscopy/rectoscopy. No 36 women, 32 had gynecological examination (89%), revealing We conclude, that only possible (but not verified) disclosed various specialists referred diagnosis metastatic Special screenings can be considered redundant. Thus, for primary, we recommend detailed history is obtained, standard physical performed, addition histopathological review CT/PET staging. J. Surg. Oncol. 2011; 104:724–727. © 2011 Wiley Periodicals, Inc.